Top 84 Hamaspik Jobs in Spring Valley, Ny

STARS Pharmacy Technician (Bilingual)
HAMASPIK CHOICE INC —Spring Valley, NY
- $26 - $28 an hour
- Full-time
- Spanish
- High school diploma or GED
- Medical terminology
Quick Apply
12d
Nurse Care Manager - (ALF/Adult Home)
HAMASPIK CHOICE INC —Spring Valley, NY
- $41.82 - $50.48 an hour
- Full-time
- Hybrid work
- RN License
- Mid-level
- Home health
Quick Apply
Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Spring Valley, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
Quick Apply
UAS Nurse Reviewer
HAMASPIK CHOICE INC —Spring Valley, NY
- $95,000 - $97,000 a year
- Full-time
- RN License
- Mid-level
- Nursing
Quick Apply
Out Of Network Specialist
HAMASPIK CHOICE INC —Spring Valley, NY
- $21 - $23 an hour
- Full-time
- Microsoft Excel
- Research
- Administrative experience
Quick Apply
Office Assistant
HAMASPIK CHOICE INC —Spring Valley, NY
- $20 - $22 an hour
- Full-time
- Writing skills
- Office
- Communication skills
Quick Apply
Enrollment Nurse (Cantonese/Mandarin Speaking)
HAMASPIK CHOICE INC —Spring Valley, NY
- $90,000 - $100,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Enrollment Nurse (Spanish Speaking)
HAMASPIK CHOICE INC —Spring Valley, NY
- $90,000 - $100,000 a year
- Full-time
- Spanish
- Nursing
- RN License
Quick Apply
Care Management Coordinator (Mandarin/Cantonese Speaking)
HAMASPIK CHOICE INC —Spring Valley, NY
- $19 - $23 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- Administrative experience
Quick Apply
Nurse Care Manager (Cantonese/Mandarin Speaking - Medicare)
HAMASPIK CHOICE INC —Spring Valley, NY
- $41.82 - $50.48 an hour
- Full-time
- Hybrid work
- Nursing
- RN License
- Computer literacy
Quick Apply
Nurse Care Manager (Yiddish Speaking - Medicare)
HAMASPIK CHOICE INC —Spring Valley, NY
- $41.82 - $50.48 an hour
- Full-time
- Hybrid work
- Bilingual
- Nursing
- RN License
Quick Apply
Intake and Enrollment Specialist - Mandarin/Cantonese Speaking
HAMASPIK CHOICE INC —Spring Valley, NY
- $22 - $28 an hour
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
TOC Nurse Care Manager
HAMASPIK CHOICE INC —Spring Valley, NY
- $41.82 - $50.48 an hour
- Full-time
- Hybrid work
- Nursing
- RN License
- Computer literacy
Quick Apply
MLTC Nurse Care Manager
HAMASPIK CHOICE INC —Spring Valley, NY
- $34.61 - $50.48 an hour
- Full-time
- Hybrid work
- Spanish
- Master of Social Work
- Nursing
Quick Apply
Nurse Care Manager (Medicare)
HAMASPIK CHOICE INC —Spring Valley, NY
- $41.82 - $50.48 an hour
- Full-time
- Hybrid work
- Bilingual
- Nursing
- RN License
Quick Apply
Utilization Review Nurse
HAMASPIK CHOICE INC —Spring Valley, NY
- $45 - $47 an hour
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Nurse Care Manager (Bilingual - Medicare)
HAMASPIK CHOICE INC —Spring Valley, NY
- $41.82 - $50.48 an hour
- Full-time
- Hybrid work
- Bilingual
- Nursing
- RN License
Quick Apply
Utilization Review Nurse (Medicare)
HAMASPIK CHOICE INC —Spring Valley, NY
- $41 - $47 an hour
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Care Management Coordinator (Bilingual)
HAMASPIK CHOICE INC —Spring Valley, NY
- $19 - $23 an hour
- Full-time
- Spanish
- Computer literacy
- High school diploma or GED
Quick Apply
Enrollment Coordinator
HAMASPIK CHOICE INC —Spring Valley, NY
- $22 - $25 an hour
- Full-time
- Mid-level
- Quality control
Quick Apply

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hamaspik jobs near spring valley, ny

STARS Pharmacy Technician (Bilingual)

HAMASPIK CHOICE INC -
Spring Valley, NY

Quick Apply

Job Details

Full-time
$26 - $28 an hour
12 days ago

Qualifications

Pharmacy Information Systems (PIS)
Spreadsheets
High school diploma or GED
Data management
Medical terminology
Excel data analysis

Full Job Description

Job Overview:

The Stars Pharmacy Technician plays a vital role in ensuring timely medication adherence for members, directly impacting the organization's quality performance measures. This position is responsible for proactively managing members who fall into specific quality measure denominators to prevent gaps in care.

Essential Responsibilities:

The Pharmacy Technician will play a crucial role in supporting the Hamaspik Medicare Advantage and Medicaid Manage Care pharmacy programs. The primary focus of the position is to manage and execute our internal medication adherence outreach workflows and improve quality measures, particularly those related to the Centers for Medicare & Medicaid Services (CMS) Star Ratings program. The technician will work collaboratively with the pharmacy director, care managers, and network pharmacies to ensure members receive timely and appropriate medication therapy while reducing reliance on external vendor outreach.

A core function of this role is to facilitate communication among all stakeholders. The technician will:

Contact Members' Pharmacies: They will work directly with pharmacies to confirm prescription statuses, resolve issues, and ensure a smooth medication dispensing process.
Coordinate with Primary Care Physicians (PCPs): The technician will communicate with PCPs to address any prescription-related concerns, such as refill requests, to prevent delays in care.
Collaborate with Care Managers: They will partner with care managers to share updates on member adherence, identify barriers to timely medication fills, and coordinate support services as needed.
Process Prior Authorizations: Assist with coverage determinations and process prior authorizations as needed to maintain operational coverage.

Data Management and Reporting: Execute tracking and reporting tasks by utilizing Excel (including pivot tables) for pharmacy projects and monitor adherence KPIs.

Other Duties: Perform all responsibilities as assigned by your supervisor.

By performing these tasks, the Pharmacy Technician directly contributes to improving medication adherence rates and positively impacting quality performance measures.

Required Education, Experience, and Licenses:

High school diploma or equivalent
1 – 2 years of experience as a pharmacy technician, preferably in a managed care setting
High proficiency in Microsoft Excel, including the ability to utilize pivot tables and manage large data sets
Pharmaceutical Knowledge
Pharmacy Software Proficiency
Medical Terminology
Excellent communication skills
Problem solving skills
Detail oriented and accuracy with documentation

Preferred Qualifications:

Active PTCB Certification
Bilingual proficiency (Spanish or Chinese)
Previous experience with Medicare Part D Star Ratings, medication adherence programs, or Medication Therapy Management (MTM)
Familiarity with Rx Nova, Guiding Care, or similar claims processing and care management platforms

Quick Apply

Refine Your Search

hamaspik jobs in spring valley, ny

STARS Pharmacy Technician (Bilingual)

Nurse Care Manager - (ALF/Adult Home)

Coder Auditor/Senior CDI Specialist

UAS Nurse Reviewer

Out Of Network Specialist

Office Assistant

Enrollment Nurse (Cantonese/Mandarin Speaking)

Enrollment Nurse (Spanish Speaking)

Care Management Coordinator (Mandarin/Cantonese Speaking)

Nurse Care Manager (Cantonese/Mandarin Speaking - Medicare)

Nurse Care Manager (Yiddish Speaking - Medicare)

Intake and Enrollment Specialist - Mandarin/Cantonese Speaking

TOC Nurse Care Manager

MLTC Nurse Care Manager

Nurse Care Manager (Medicare)

Utilization Review Nurse

Nurse Care Manager (Bilingual - Medicare)

Utilization Review Nurse (Medicare)

Care Management Coordinator (Bilingual)

Enrollment Coordinator

I want to receive the latest job alert for hamaspik in spring valley, ny

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